Provider Demographics
NPI:1770141210
Name:JUTEAU, JULI ANN (LMFT)
Entity type:Individual
Prefix:MS
First Name:JULI
Middle Name:ANN
Last Name:JUTEAU
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 URBAN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-5305
Mailing Address - Country:US
Mailing Address - Phone:310-315-3093
Mailing Address - Fax:
Practice Address - Street 1:2001 S. BARRINGTON AVENUE
Practice Address - Street 2:SUITE 215
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5320
Practice Address - Country:US
Practice Address - Phone:310-315-3093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT112351106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist